Log Book New

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Appendix A: Arrival Note:

MZUMBE UNIVERSITY
(CHUO KIKUU MZUMBE)
Mzumbe University
(a) Field Practical…………………………………(Academic year)
(b) Department of………………………………………………………………………….
(c) Name of student…………………………… ………………………………………….
(d) I declare that I have started working with
………………………………………………..(company/organization)
Address: P.O.BOX………………………………………………………..
Fax No:……………………………………………………………………
Te No:……………………………………………………………………..
Email:……………………………………………………………………...
(e) Date of starting practical field study:………………………………………………….
(f) Title of field project:……………………………...…………………………………...
(g) My supervisor’s name:………… ……………………………………………………..
(h) My contact address:……………………………... ……………………………………
Signature………………………………………Date:……………………………..

(i) Supervisor’s name, signature and official rubber stamp

Name:………………………………………………………………………………
Position:…………………….………………………………………………………

Signature:…….………………………………..Date:………………..…………….

[Official stamp]
To be sent to;
Field Attachment Coordinator,
Faculty/College/Institute/Directorate of:……………………………………………
Mzumbe University
P.O.Box……………..……………………………………………………………….
MZUMBE
Appendix B: Sample of Log Book

MZUMBE UNIVERSITY
(CHUO KIKUU MZUMBE)
Date Hours
Name
Weekly Report No Week from: to:
Day Brief Description of activities Performed
Monday

Tuesday

Wednesday

Thursday

Friday

Name of Local Supervisor Position

…………………………… ……………………………

Signature of Local Supervisor Date


…………………………… ……………………………

(Official stamp)
Appendix C: Sample Weekly Summary Form

MZUMBE UNIVERSITY
(CHUO KIKUU MZUMBE)
Date: Name:
Weekly summary: Week from: to:

Name of Local Supervisor……………………………………………………………..


Position…………………………………………………………………………………
Signature……………………………………….. Date……………………………..
(Official stamp)

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